Individual
MARK RUBINSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1070 MAIN ST, PAWTUCKET, RI 02860-4847
(401) 727-6490
Mailing address
951 N MAIN ST, PROVIDENCE, RI 02904-5759
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW00428
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003885
BLUE CHIP
RI
01
—
30880-9
BLUE CROSS
RI
01
—
62-34029
UNITED BEHAVIORAL HEALTH
RI
05
—
MR30699
—
RI
Enumeration date
07/17/2006
Last updated
07/08/2007
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